Executive Director, Compliance and Risk Management
University Health, San Antonio, TX, United States
Executive Director, Compliance and Risk Management
POSITION SUMMARY/RESPONSIBILITIES Ensures Community First compliance with governmental regulations and major commercial and governmental contracts. Coordinates governmental filings for new product development and new venture development projects. Ensures compliance with the Business Risk Management Plan. Interprets governmental regulations and statutes and provides oversight to the development, implementation, and enforcement of Community First policies and procedures. Oversees Community First's Compliance Program and reviews and evaluates compliance issues and concerns within the organization. Ensures compliance with governmental regulations, including the Texas Department of Insurance (TDI), the Texas Health and Human Services Commission (HHSC), and the Centers for Medicare and Medicaid Services (CMS), policies and procedures specific to those programs and expectations, and regulatory requirements. EDUCATION/EXPERIENCE A Bachelor's degree in Health Care Administration, Business Administration or a related field is required. A Master's degree in Health Care or Business Management is preferred. Must have a minimum of five years' experience in business development, including at least three years in contract compliance, preferably in a managed care administrative setting. Knowledge of Texas Medicaid (STAR, STAR Kids, STAR+PLUS), and CHIP regulations, HHSC, and TDI regulations required. Knowledge of Medicare Advantage and Medicare Dual Special Needs Plan is preferred. Strong experience developing and implementing high-quality standards, auditing procedures, healthcare regulations, policy formulation, and process improvement principles is required. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive... DocCafe has an immediate opening for the following position: Physician Assistant - Family Practice/Primary Care in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to... DocCafe has an immediate opening for the following position: Nurse Practitioner - Hospitalist in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job... DocCafe has an immediate opening for the following position: Nurse Practitioner - Urgent Care in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job... DocCafe has an immediate opening for the following position: Nurse Practitioner - Pediatrics in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and... Executive Director, Compliance and Risk Management Remember my email address on this computer Mailing Address: Uloop Inc. 306 S. Washington Ave Suite 400 Royal Oak, MI 48067 Telephone Support: 312.854.7605 Email Support: greg@uloop.com Upload An Image
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POSITION SUMMARY/RESPONSIBILITIES Ensures Community First compliance with governmental regulations and major commercial and governmental contracts. Coordinates governmental filings for new product development and new venture development projects. Ensures compliance with the Business Risk Management Plan. Interprets governmental regulations and statutes and provides oversight to the development, implementation, and enforcement of Community First policies and procedures. Oversees Community First's Compliance Program and reviews and evaluates compliance issues and concerns within the organization. Ensures compliance with governmental regulations, including the Texas Department of Insurance (TDI), the Texas Health and Human Services Commission (HHSC), and the Centers for Medicare and Medicaid Services (CMS), policies and procedures specific to those programs and expectations, and regulatory requirements. EDUCATION/EXPERIENCE A Bachelor's degree in Health Care Administration, Business Administration or a related field is required. A Master's degree in Health Care or Business Management is preferred. Must have a minimum of five years' experience in business development, including at least three years in contract compliance, preferably in a managed care administrative setting. Knowledge of Texas Medicaid (STAR, STAR Kids, STAR+PLUS), and CHIP regulations, HHSC, and TDI regulations required. Knowledge of Medicare Advantage and Medicare Dual Special Needs Plan is preferred. Strong experience developing and implementing high-quality standards, auditing procedures, healthcare regulations, policy formulation, and process improvement principles is required. PURPOSE AND SCOPE: Provides psychosocial services to patients treated by the facility including in-center and home dialysis patients (if applicable) utilizing Social Work Theory of Human Behavior and accepted methods of social work practice. Works with the health care team to promote positive... DocCafe has an immediate opening for the following position: Physician Assistant - Family Practice/Primary Care in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to... DocCafe has an immediate opening for the following position: Nurse Practitioner - Hospitalist in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job... DocCafe has an immediate opening for the following position: Nurse Practitioner - Urgent Care in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job... DocCafe has an immediate opening for the following position: Nurse Practitioner - Pediatrics in San Antonio, Texas.DocCafe is the premier physician and advanced practice job board to help you advance your healthcare career.----------------Register now to apply for this job and... Executive Director, Compliance and Risk Management Remember my email address on this computer Mailing Address: Uloop Inc. 306 S. Washington Ave Suite 400 Royal Oak, MI 48067 Telephone Support: 312.854.7605 Email Support: greg@uloop.com Upload An Image
Please select an image to upload Note: must be in .png, .gif or .jpg format OR
Provide URL where image can be downloaded Note: must be in .png, .gif or .jpg format
First Name Please enter First Name Last Name Please enter Last Name Phone Please enter Phone Email Please enter Email By clicking "Create Alert" I agree to the Uloop Terms of Use . Please select a photo to upload Note: must be in .png, .gif or .jpg format
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